| NPI | 1396790606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID 65331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F334833) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-02-23 |